Displaying 151011-151020 of 1611142 results.
ID:
151011
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151012
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151013
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151014
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151015
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151016
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151017
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151018
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151019
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151020
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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